Data are from the Medicare Ambulatory Surgical Center Payment System Limited Data Set.
- APC Code / Description
- Ambulatory Payment Classifications (APCs) are
the method of paying facility outpatient services for the Medicare) program. CMS classifies services into
(APCs) on the basis of clinical and cost
similarity. All services within an APC have the
same payment rate.
- Allowed Charges
- Allowed Charges represent the amounts used to calculate payment for billed procedures as determined by
the Medicare contractor. For ASCs, allowed charges typically are the total wage-adjusted payment for a
service in a specific geographic area, and include both the Medicare program payment and beneficiary
copayment. Allowed charges values are represented in whole dollars with no cents.
- Allowed Services
- Allowed Services represent the number of procedures that the Medicare contractor allowed the supplier
to bill. This number reflects total services and does not reflect application of a multiple procedure
discount. This is a count of service units provided, not cases or patients. Multiple units of service can
be provided to a single patient during a visit.